Healthcare Provider Details

I. General information

NPI: 1285628362
Provider Name (Legal Business Name): PAUL T. BARRETT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 04/21/2020
Certification Date: 04/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 TUNNEL RD STE 240
ASHEVILLE NC
28805-2060
US

IV. Provider business mailing address

PO BOX 8333
ASHEVILLE NC
28814-8333
US

V. Phone/Fax

Practice location:
  • Phone: 828-545-7776
  • Fax: 828-658-0361
Mailing address:
  • Phone: 828-545-7776
  • Fax: 828-658-0361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number2796
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2796
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: